Cycle 1
Health 2023-03-23 · Fire 2023-03-23
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Youngstown, OH
Shepherd Of The Valley-Boardman
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
7148 West Blvd, Youngstown, OH
(330) 726-9061
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
57
Certified beds
Average residents
41
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1982-03-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.65
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.67
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.62
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.23
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,738
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.15% · Performance 21.25% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.67
Performance 7.63% · Measure score 0.67 · Achievement 0.67 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
2.15
Baseline 56.60% · Performance 54.90% · Measure score 2.15 · Achievement 2.15 · Improvement 0.04
Adjusted total nurse staffing
1.49
Baseline 3.88 hours · Performance 3.50 hours · Measure score 1.49 · Achievement 1.49 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.27% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 12.35% · Lower 95% interval 7.82% |
| Discharge to community | 57.48% |
50.57%
6.9 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 53.16% · Lower 95% interval 48.17% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 52 · Denominator 52 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 52 |
| Discharge self-care score | 42.42% |
53.69%
11.3 pts worse
|
Numerator 14 · Denominator 33 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 22 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 3.85% |
2.29%
1.6 pts worse
|
Numerator 2 · Denominator 52 · Adjusted rate 4.02% |
| Healthcare-associated infections requiring hospitalization | 7.63% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 8.51% · Lower 95% interval 4.53% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 58 |
| Staff flu vaccination coverage | 3.95% |
42%
38 pts worse
|
Numerator 3 · Denominator 76 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 18 · Denominator 33 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 26 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
92.4%
6.8 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.1% |
94.5%
0.4 pts worse
|
95.5%
1.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.6% |
26.1%
21.5 pts better
|
11.4%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 10.7% · Q3 4.0% · Q4 0.0% · 4Q avg 4.6% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
6.2%
1.6 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 0.0% · Q3 7.7% · Q4 4.3% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.5% |
25.4%
1.1 pts worse
|
19.6%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 32.0% · Q3 19.2% · Q4 26.1% · 4Q avg 26.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
11.5%
0.7 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 17.4% · Q3 9.1% · Q4 4.8% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.0% |
7.7%
22.3 pts worse
|
16.3%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
6.2%
12.4 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 17.4% · Q3 12.0% · Q4 18.2% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.8% |
0.2%
3.6 pts worse
|
1.0%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 3.0% · Q3 2.8% · Q4 3.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.9% |
0.5%
5.4 pts worse
|
1.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 14.3% · Q3 3.2% · Q4 3.6% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.9% |
21.7%
9.2 pts worse
|
19.8%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 35.5% · Q3 31.3% · Q4 30.3% · 4Q avg 30.9% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
3.7%
5.6 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.9% · Q3 7.6% · Q4 10.8% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.7% |
78.1%
10.6 pts better
|
81.7%
7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 90.1% · Q3 90.7% · Q4 91.8% · 4Q avg 88.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
12.5%
1.7 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 11.8% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.2%
0.7 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 1.8% · Q4 2.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.2% |
75.6%
11.4 pts worse
|
79.7%
15.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
25.1%
3.9 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 25.5% · Expected 28.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-10-31 · Fire 2019-10-31
3 health deficiencies
Top issue: Infection Control (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Cycle 3
Health 2018-09-06 · Fire 2018-09-06
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-03-23
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-13
F · Potential for more than minimal harm
2023-03-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-13
E · Potential for more than minimal harm
2019-10-31
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-12-09
E · Potential for more than minimal harm
2019-10-31
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2019-12-09
C · Minimal harm
2019-10-31
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-12-09
C · Minimal harm
2019-10-31
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2019-12-09
C · Minimal harm
2019-10-31
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-12-09
F · Potential for more than minimal harm
2018-09-06
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2018-10-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-19
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-19
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-13
D · Potential for more than minimal harm
2024-11-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-31
D · Potential for more than minimal harm
2023-08-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-31
F · Potential for more than minimal harm
2019-10-31
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2019-12-09
D · Potential for more than minimal harm
2019-10-31
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2019-12-09
E · Potential for more than minimal harm
2018-09-06
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2018-10-19
D · Potential for more than minimal harm
2018-09-06
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2018-10-19
Penalties and ownership
What sits behind the stars
Ownership
Adamic, Paul
Corporate Officer · Individual
Adamic, Paul
W-2 Managing Employee · Individual
Deabate, Giuseppe
Corporate Director · Individual
Deabate, Giuseppe
Corporate Officer · Individual
Earnheardt, Adam
Corporate Director · Individual
Earnheardt, Adam
Corporate Officer · Individual
Filip, Chrisitne
W-2 Managing Employee · Individual
Limongi, Richard
Corporate Officer · Individual
Limongi, Richard
W-2 Managing Employee · Individual
Parish, Cory
W-2 Managing Employee · Individual
Quaintance, Robert
Corporate Director · Individual
Thompson, Richard
Corporate Director · Individual
Nearby options
Other facilities in reach
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Vista Center Of Boardman
Boardman, OH
1-star overall rating with 1-star inspections with $45,997 in total fines with 27 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Beeghly Oaks Center For Rehabilitation & Healing
Youngstown, OH
1-star overall rating with 1-star inspections with Special Focus status with $187,369 in total fines with 32 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Briarfield Place
Boardman, OH
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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